Vbm Hospice Inc.

“Based on record review, observation (on-site visit), and interview, the agency failed to maintain compliance with this Condition of Participation to ensure the hospice routinely provided all core services including nursing services, medical social services and counseling, directly by the hospice employees in that: The agency failed to provide surveyor entry to the agency to determine whether nursing care and services were being delivered as required. (Refer to L591)The agency failed to provide surveyor entry to the agency to determine whether medical social services were being delivered as required. (Refer to L594)The agency failed to provide surveyor entry to the agency to determine whether counseling services were being delivered as required. (Refer to L595)”

“Based on record review, observation (on-site visit) and interview, the agency failed to organize, manage, and administer its resources to provide the hospice care and services to patients, caregivers, and families necessary for the palliation and management of the terminal illness and related conditions in that: The agency failed to provide surveyor entry to the agency to determine whether agency was providing the following care and services: nursing services; medical social services; physician services; counseling services; hospice aide services; physical therapy; occupational therapy; speech-language therapy services; short term inpatient care; and medical supplies including drugs and biologicals and medical appliances in a manner that was consistent with accepted standards of practice. (Refer to L652)The agency failed to provide surveyor entry to the agency to determine whether nursing services, physician services, and drugs and biologicals were routinely available on a 24- hour basis 7 days a week. (Refer to L653)”

“Based on record review, observation (on-site visit) and interview, the agency failed to ensure that the nursing needs of the patient as identified in the patient’s initial assessment were provided under the supervision of a registered nurse.This failure placed patients at risk of receiving inadequate care. Findings:Record review of web based licensure system Texas Unified Licensure Information Portal (TULIP-a database utilized by the state to maintain licensing, demographic information, complaints, and self-reported incidents on home health and hospice agencies for the State of Texas) on 7/16/2026, revealed the agency listed an Administrator [ADM A], an Alternate Administrator [ADM B], the agency address and phone number, and the operating hours: 10:00 a.m. to 2:30 p.m. (Monday through Friday). The agency’s category was listed as hospice. TULIP showed the agency had an active license with an expiration date of 10/21/2028.Observation on 8/5/2026 at 10:00 a.m. revealed the agency’s address was in a shopping center. There was no visible agency identification on the outer office suites door. The agency’s identified suite was located. The suite office area was empty, lacking any signage on the door stating the agency name, hours, or contact information.In an interview on 8/5/2026 at 10:15 a.m., the surveyor spoke with the office suites leasing agency. The leasing agency representative informed the surveyor, “[Agency] closed the office several months ago.” The surveyor asked if the agency had left any forwarding information. The leasing agency representative stated, “No. It was my understanding [owners] closed the agency.”On 8/5/2026 at 10:24 a.m. the surveyor attempted to call the phone number listed in TULIP. The call was answered but the surveyor was told it was the wrong number and then the call disconnected.On 8/5/2026 at 10:30 a.m. the surveyor sent an email to the email address listed in TULIP for the agency.On 8/5/2026 at 11:04 a.m. the surveyor sent an email to the Administrator [ADM A] listed in TULIP.On 8/5/2026 at 11:05 a.m. the surveyor attempted to call the number listed in TULIP. The call rang multiple times with no answer and no ability to leave a message.On 8/5/2026 at 11:32 a.m. the surveyor received an email from the agency owner stating, “Our office is closed. [Agency owners] have surrendered the license.”On 8/5/2026 at 2:31 p.m. the surveyor received an email stating HHSC Licensing had not received any notification of the agency surrendering the license.On 8/5/2026 at 7:41 p.m. the surveyor received an email from ADM A stating ADM A had “not been involved with the agency in over 2 years.””

“Based on record review, observation (on-site visit) and interview, the agency failed to ensure medical social services were available to the patient and family to identify issues that may impede or facilitate the patient’s treatment and to assist the patient and/ or family in reaching the maximum benefit from hospice care.This failure placed patients and families at risk of unmet psychosocial needs and lack of appropriate support during hospice care. Findings:Record review of web based licensure system Texas Unified Licensure Information Portal (TULIP-a database utilized by the state to maintain licensing, demographic information, complaints, and self-reported incidents on home health and hospice agencies for the State of Texas) on 7/16/2026, revealed the agency listed an Administrator [ADM A], an Alternate Administrator [ADM B], the agency address and phone number, and the operating hours: 10:00 a.m. to 2:30 p.m. (Monday through Friday). The agency’s category was listed as hospice. TULIP showed the agency had an active license with an expiration date of 10/21/2028.Observation on 8/5/2026 at 10:00 a.m. revealed the agency’s address was in a shopping center. There was no visible agency identification on the outer office suites door. The agency’s identified suite was located. The suite office area was empty, lacking any signage on the door stating the agency name, hours, or contact information.In an interview on 8/5/2026 at 10:15 a.m., the surveyor spoke with the office suites leasing agency. The leasing agency representative informed the surveyor, “[Agency] closed the office several months ago.” The surveyor asked if the agency had left any forwarding information. The leasing agency representative stated, “No. It was my understanding [owners] closed the agency.”On 8/5/2026 at 10:24 a.m. the surveyor attempted to call the phone number listed in TULIP. The call was answered but the surveyor was told it was the wrong number and then the call disconnected.On 8/5/2026 at 10:30 a.m. the surveyor sent an email to the email address listed in TULIP for the agency.On 8/5/2026 at 11:04 a.m. the surveyor sent an email to the Administrator [ADM A] listed in TULIP.On 8/5/2026 at 11:05 a.m. the surveyor attempted to call the number listed in TULIP. The call rang multiple times with no answer and no ability to leave a message.On 8/5/2026 at 11:32 a.m. the surveyor received an email from the agency owner stating, “Our office is closed. [Agency owners] have surrendered the license.”On 8/5/2026 at 2:31 p.m. the surveyor received an email stating HHSC Licensing had not received any notification of the agency surrendering the license.On 8/5/2026 at 7:41 p.m. the surveyor received an email from ADM A stating ADM A had “not been involved with the agency in over 2 years.””

“Based on record review, observation (on-site visit) and interview, the agency failed to ensure counseling services were available to the patient and family to assist in minimizing the stress and problems that arise from the terminal illness, related conditions, and the dying process.This failure placed patients and families at risk of receiving inadequate emotional support. Findings:Record review of web based licensure system Texas Unified Licensure Information Portal (TULIP-a database utilized by the state to maintain licensing, demographic information, complaints, and self-reported incidents on home health and hospice agencies for the State of Texas) on 7/16/2026, revealed the agency listed an Administrator [ADM A], an Alternate Administrator [ADM B], the agency address and phone number, and the operating hours: 10:00 a.m. to 2:30 p.m. (Monday through Friday). The agency’s category was listed as hospice. TULIP showed the agency had an active license with an expiration date of 10/21/2028.Observation on 8/5/2026 at 10:00 a.m. revealed the agency’s address was in a shopping center. There was no visible agency identification on the outer office suites door. The agency’s identified suite was located. The suite office area was empty, lacking any signage on the door stating the agency name, hours, or contact information.In an interview on 8/5/2026 at 10:15 a.m., the surveyor spoke with the office suites leasing agency. The leasing agency representative informed the surveyor, “[Agency] closed the office several months ago.” The surveyor asked if the agency had left any forwarding information. The leasing agency representative stated, “No. It was my understanding [owners] closed the agency.”On 8/5/2026 at 10:24 a.m. the surveyor attempted to call the phone number listed in TULIP. The call was answered but the surveyor was told it was the wrong number and then the call disconnected.On 8/5/2026 at 10:30 a.m. the surveyor sent an email to the email address listed in TULIP for the agency.On 8/5/2026 at 11:04 a.m. the surveyor sent an email to the Administrator [ADM A] listed in TULIP.On 8/5/2026 at 11:05 a.m. the surveyor attempted to call the number listed in TULIP. The call rang multiple times with no answer and no ability to leave a message.On 8/5/2026 at 11:32 a.m. the surveyor received an email from the agency owner stating, “Our office is closed. [Agency owners] have surrendered the license.”On 8/5/2026 at 2:31 p.m. the surveyor received an email stating HHSC Licensing had not received any notification of the agency surrendering the license.On 8/5/2026 at 7:41 p.m. the surveyor received an email from ADM A stating ADM A had “not been involved with the agency in over 2 years.””

“Based on record review, observation (on-site visit) and interview, the agency failed to be primarily engaged in providing the following care and services: nursing services; medical social services; physician services; counseling services; hospice aide services; physical therapy; occupational therapy; speech-language therapy services; short term inpatient care; and medical supplies including drugs and biologicals and medical appliances in a manner that was consistent with accepted standards of practice.This failure placed patients at risk of receiving inadequate care. Findings:Record review of web based licensure system Texas Unified Licensure Information Portal (TULIP-a database utilized by the state to maintain licensing, demographic information, complaints, and self-reported incidents on home health and hospice agencies for the State of Texas) on 7/16/2026, revealed the agency listed an Administrator [ADM A], an Alternate Administrator [ADM B], the agency address and phone number, and the operating hours: 10:00 a.m. to 2:30 p.m. (Monday through Friday). The agency’s category was listed as hospice. TULIP showed the agency had an active license with an expiration date of 10/21/2028.Observation on 8/5/2026 at 10:00 a.m. revealed the agency’s address was in a shopping center. There was no visible agency identification on the outer office suites door. The agency’s identified suite was located. The suite office area was empty, lacking any signage on the door stating the agency name, hours, or contact information.In an interview on 8/5/2026 at 10:15 a.m., the surveyor spoke with the office suites leasing agency. The leasing agency representative informed the surveyor, “[Agency] closed the office several months ago.” The surveyor asked if the agency had left any forwarding information. The leasing agency representative stated, “No. It was my understanding [owners] closed the agency.”On 8/5/2026 at 10:24 a.m. the surveyor attempted to call the phone number listed in TULIP. The call was answered but the surveyor was told it was the wrong number and then the call disconnected.On 8/5/2026 at 10:30 a.m. the surveyor sent an email to the email address listed in TULIP for the agency.On 8/5/2026 at 11:04 a.m. the surveyor sent an email to the Administrator [ADM A] listed in TULIP.On 8/5/2026 at 11:05 a.m. the surveyor attempted to call the number listed in TULIP. The call rang multiple times with no answer and no ability to leave a message.On 8/5/2026 at 11:32 a.m. the surveyor received an email from the agency owner stating, “Our office is closed. [Agency owners] have surrendered the license.”On 8/5/2026 at 2:31 p.m. the surveyor received an email stating HHSC Licensing had not received any notification of the agency surrendering the license.On 8/5/2026 at 7:41 p.m. the surveyor received an email from ADM A stating ADM A had “not been involved with the agency in over 2 years.””

“Based on record review, observation (on-site visit) and interview, the agency failed to ensure nursing services, physician services, and drugs and biologicals were routinely available on a 24- hour basis 7 days a week.This failure placed patients at risk of avoidable pain, distress, or clinical deterioration when essential services are not accessible at all times as required. Findings:Record review of web based licensure system Texas Unified Licensure Information Portal (TULIP-a database utilized by the state to maintain licensing, demographic information, complaints, and self-reported incidents on home health and hospice agencies for the State of Texas) on 7/16/2026, revealed the agency listed an Administrator [ADM A], an Alternate Administrator [ADM B], the agency address and phone number, and the operating hours: 10:00 a.m. to 2:30 p.m. (Monday through Friday). The agency’s category was listed as hospice. TULIP showed the agency had an active license with an expiration date of 10/21/2028.Observation on 8/5/2026 at 10:00 a.m. revealed the agency’s address was in a shopping center. There was no visible agency identification on the outer office suites door. The agency’s identified suite was located. The suite office area was empty, lacking any signage on the door stating the agency name, hours, or contact information.In an interview on 8/5/2026 at 10:15 a.m., the surveyor spoke with the office suites leasing agency. The leasing agency representative informed the surveyor, “[Agency] closed the office several months ago.” The surveyor asked if the agency had left any forwarding information. The leasing agency representative stated, “No. It was my understanding [owners] closed the agency.”On 8/5/2026 at 10:24 a.m. the surveyor attempted to call the phone number listed in TULIP. The call was answered but the surveyor was told it was the wrong number and then the call disconnected.On 8/5/2026 at 10:30 a.m. the surveyor sent an email to the email address listed in TULIP for the agency.On 8/5/2026 at 11:04 a.m. the surveyor sent an email to the Administrator [ADM A] listed in TULIP.On 8/5/2026 at 11:05 a.m. the surveyor attempted to call the number listed in TULIP. The call rang multiple times with no answer and no ability to leave a message.On 8/5/2026 at 11:32 a.m. the surveyor received an email from the agency owner stating, “Our office is closed. [Agency owners] have surrendered the license.”On 8/5/2026 at 2:31 p.m. the surveyor received an email stating HHSC Licensing had not received any notification of the agency surrendering the license.On 8/5/2026 at 7:41 p.m. the surveyor received an email from ADM A stating ADM A had “not been involved with the agency in over 2 years.””